Skip to main content

Advertisement

Log in

Review Article: Retropharyngeal Abscess—Mimickers and Masqueraders

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

An Erratum to this article was published on 21 April 2017

Abstract

To discuss a case of suspected retropharyngeal abscess having important clinical and academic significance. This paper discusses an unusual presentation and evolution of a well known condition such as retropharyngeal abscess. Though the diagnosis in this case was initially a retropharyngeal abscess, several unusual findings were evident, which interfered with the optimal management of the patient. A literature review revealed rare causes and lesions mimicking a retropharyngeal abscess, such as retropharyngeal calcific tendinitis and Kawasaki disease, which are neither familiar to otolaryngologists nor other specialists such as orthopedicians. It is possible that this patient was both over treated and undertreated at the same time. Though the diagnosis in this case could not be established with certainty, several important pieces of information came up, especially unusual causes of retropharyngeal abscess and management of the same. Retropharyngeal abscess is a well-known condition with established modes of management. However, certain variations may occur and may pose challenges in diagnosis and management. These variations are little known and need to be highlighted so that optimal management is ensured.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Pollak N, Wexler S (2013) Retropharyngeal calcific tendinitis mimics retropharyngeal abscess. Case Rep Otolaryngol 2013:1–4

    Article  Google Scholar 

  2. Hartley J (1964) Acute cervical pain associated with retropharyngeal calcium deposit. A case report. J Bone Joint Surg 46(8):1753–1754

    Article  CAS  PubMed  Google Scholar 

  3. Ring D, Vaccaro AR, Scuderi G, Pathria MN, Garfin SR (1994) Acute calcific retropharyngeal tendinitis. Clinical presentation and pathological characterization. J Bone Joint Surg Am 76(11):1636–1642

    Article  CAS  PubMed  Google Scholar 

  4. Kaplan MJ, Eavey RD (1984) Calcific tendinitis of the longus colli muscle. Ann Otol Rhinol Laryngol 93(3 Pt1):215–219

    Article  CAS  PubMed  Google Scholar 

  5. Paik NM, Lim CS, Jang HS (2012) Tendinitis of longus colli: computed tomography, magnetic resonance imaging, and clinical spectra of 9 cases. J Comput Assist Tomogr 36(6):755–761

    Article  PubMed  Google Scholar 

  6. Mihmanli I, Karaarslan E, Kanberoglu K (2001) Inflammation of vertebral bone associated with acute calcific tendinitis of the longus colli muscle. Neuroradiology 43:1098–1101

    Article  CAS  PubMed  Google Scholar 

  7. Razon RV, Nasir A, Wu GS, Soliman M, Trilling J (2009) Retropharyngeal calcific tendonitis: report of two cases. J Am Board Fam Med 22(1):84–88

    Article  PubMed  Google Scholar 

  8. Shin D, Ahn C, Choi J (2010) The acute calcific prevertebral tendinitis: report of two cases. Asian Spine J 4(2):123–127

    Article  PubMed  PubMed Central  Google Scholar 

  9. Bettini N, Girardo M, Dema E, Cervellati S (2009) Evaluation of conservative treatment of non-specific spondylodiscitis. Eur Spine J 18(1):143–150

    Article  PubMed  PubMed Central  Google Scholar 

  10. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ (2000) Hematogenous pyogenic spinal infections and their surgical managemen. Spine 25(13):1668–1679

    Article  CAS  PubMed  Google Scholar 

  11. Ansari S, Ashraf AN, Moutaery KA (2001) Spinal infections-A review. Neurosurg Q 11(2):112–123

    Article  Google Scholar 

  12. Lai PL, Leu HS, Niu CC, Chen WJ, Chen LH (2005) Pyogenic spondylitis presenting with skip lesions. Chang Gung Med J 28(9):651–656

    PubMed  Google Scholar 

  13. Doita M, Nabeshima Y, Nishida K, Fujioka H, Kurosaka M (2007) Septic arthritis of lumbar facet joints without predisposing infection. J Spinal Disord Tech 20(4):290–295

    Article  PubMed  Google Scholar 

  14. Stamos JK, Corydon K, Donaldson J, Shulman ST (1994) Lymphadenitis as the dominant manifestation of Kawasaki disease. Pediatrics 93:525–528

    CAS  PubMed  Google Scholar 

  15. Rowley AH, Shulman ST (2004) Kawasaki disease. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of pediatrics, 17th edn. WB Saunders, Philadelphia, pp 793–834

    Google Scholar 

  16. Ganesh R, Srividhya VS, Vasanthi T, Shivbalan S (2010) Kawasaki disease mimicking retropharyngeal abscess. Yonsei Med J 51(5):784–786

    Article  PubMed  PubMed Central  Google Scholar 

  17. Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, et al. (2004) Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association Pediatrics 114:1708–33

  18. Rothfield RE, Arriaga MA, Felder H (1990) Peritonsillar abscess in Kawasaki disease. Int J Pediatr Otorhinolaryngol 20(1):73–79

    Article  CAS  PubMed  Google Scholar 

  19. Pontell J, Rosenfeld RM, Kohn B (1994) Kawasaki disease mimicking retropharyngeal abscess. Otolaryngol Head Neck Surg 110(4):428–430

    Article  CAS  PubMed  Google Scholar 

  20. Gross M, Eliashar R, Attal P, Sichel JY (2001) Radiology quiz case 2: Kawasaki disease (KD) mimicking a retropharyngeal abscess. Arch Otolaryngol Head Neck Surg 127(12):1507–1509

    CAS  PubMed  Google Scholar 

  21. Falcini F (2006) Kawasaki disease. Curr Opin Rheumatol 18:33–38

    Article  PubMed  Google Scholar 

  22. Rodrigue E, Costa J (2014) An unusual cause of neck pain: acute calcific tendinitis of the longus colli. J Med Cases 5(3):171–173

    Google Scholar 

Download references

Acknowledgements

The authors wish to express their heartfelt gratitude to the staff of the hospital to which the patient had been referred for further management.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paresh Pramod Naik.

Ethics declarations

Conflict of interest

All the authors declare they have no conflict of interest.

Informed Consent

Consent of patient and family was obtained for publication of this report and confidentiality has been maintained.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s12070-017-1135-0.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Naik, P.P., Poduval, J. & Divakaran, S. Review Article: Retropharyngeal Abscess—Mimickers and Masqueraders. Indian J Otolaryngol Head Neck Surg 69, 269–273 (2017). https://doi.org/10.1007/s12070-017-1105-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-017-1105-6

Keywords

Navigation